Quality of life in long-term survivors after curative transhiatal oesophagectomy for oesophageal carcinoma

Boer, Angela G. E. M. de; Genovesi, P. I. Oñorbe; Sprangers, Mirjam A. G.; Sandick, Johanna W. van; Obertop, H.; Lanschot, J. Jan B. van

doi:10.1046/j.1365-2168.2000.01600.x

Cited by 98 publications

(75 citation statements)

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“…In agreement with other studies, the largest improvement in quality of life was seen during the first months after surgery (Zieren et al, 1996;De Boer et al, 2000Brooks et al, 2002). It has previously been reported that some symptoms, such as early satiety, fatigue and diarrhoea, still persist in patients 2 years after oesophageal resection and without evidence of tumour recurrence (De Boer et al, 2000;Fagevik Olsen et al, 2005). Indeed, we found that nausea/vomiting, diarrhoea and fatigue were still present 13 months after surgery.…”

Section: Discussionsupporting

confidence: 77%

“…Surgery for oesophageal cancer is often accompanied by significant morbidity (Zieren et al, 1996;Baba et al, 1997;McLarty et al, 1997;Blazeby et al, 2000;De Boer et al, 2000Brooks et al, 2002;Fagevik Olsen et al, 2005;Viklund et al, 2006). It has been reported that approximately 30% of patients will develop recurrent cancer within the first year after oesophageal resection.…”

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confidence: 99%

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Nurse-led follow-up of patients after oesophageal or gastric cardia cancer surgery: a randomised trial

et al. 2008

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Between January 2004 and February 2006, 109 patients after intentionally curative surgery for oesophageal or gastric cardia cancer were randomised to standard follow-up of surgeons at the outpatient clinic (standard follow-up; n =55) or by regular home visits of a specialist nurse (nurse-led follow-up; n =54). Longitudinal data on generic (EuroQuol-5D, European Organization for Research and Treatment of Cancer (EORTC) QLQ-C30) and disease-specific quality of life (EORTC QLQ-OES18), patient satisfaction and costs were collected at baseline and at 6 weeks and 4, 7 and 13 months afterwards. We found largely similar quality-of-life scores in the two follow-up groups over time. At 4 and 7 months, slightly more improvement on the EQ-VAS was noted in the nurse-led compared with the standard follow-up group ( P =0.13 and 0.12, respectively). Small differences were also found in patient satisfaction between the two groups ( P =0.14), with spouses being more satisfied with nurse-led follow-up ( P =0.03). No differences were found in most medical outcomes. However, body weight of patients of the standard follow-up group deteriorated slightly ( P =0.04), whereas body weight of patients of the nurse-led follow-up group remained stable. Medical costs were lower in the nurse-led follow-up group (€2600 vs €3800), however, due to the large variation between patients, this was not statistically significant ( P =0.11). A cost effectiveness acceptability curve showed that the probability of being cost effective for costs per one point gain in general quality-of-life exceeded 90 and 75% after 4 and 13 months of follow-up, respectively. Nurse-led follow-up at home does not adversely affect quality of life or satisfaction of patients compared with standard follow-up by clinicians at the outpatient clinic. This type of care is very likely to be more cost effective than physician-led follow-up.

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Section: Discussionsupporting

confidence: 77%

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confidence: 99%

Nurse-led follow-up of patients after oesophageal or gastric cardia cancer surgery: a randomised trial

et al. 2008

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“…192 Some studies of survivors of head and neck cancers show that symptoms such as dysphagia, heartburn, altered taste and smell, and problems with saliva may persist, and are associated with greater functional impairment. 281,344 Physical sequelae of cancer such as stoma, scars and disfigurement, or Electrolarynx implantation may lead to social isolation and disruption of work, social life and intimacy. 345,346 Lymphoedema is also associated with substantial functional impairment and psychological morbidity.…”

Section: Physical Issues For Cancer Survivorsmentioning

confidence: 99%

Broken doctor–patient relationships: why won't they listen?

Jefford

Zalcberg

2014

Medical Journal of Australia

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Every user of this rescinded publication acknowledges that the information contained in it may not be accurate, complete or of relevance to the user's purposes. The user undertakes the responsibility for assessing the accuracy, completeness and relevance of the contents of this rescinded publication, including seeking independent verification of information sought to be relied upon for the user's purposes.Every user of this rescinded publication is responsible for ensuring that each printed version contains this disclaimer notice, including the date of recision and the date of downloading the archived Internet version. This work is copyright.Apart from any use as permitted under the Copyright Act 1968, no part may be reproduced by any process without prior written permission from National Breast Cancer Centre. Requests and enquiries concerning reproduction and rights should be addressed to the Copyright Office, National Breast Cancer Centre, Locked Bag 16, Camperdown NSW 1450, Australia.Website:www.nbcc.org.au Email: directorate@nbcc.org.au These guidelines were approved by the National Health and Medical Research Council at its 147th Session on 10 April 2003, under section 14A of the National Health and Medical Research Council Act 1992.Approval for the guidelines by NHMRC is granted for a period not exceeding five years, at which date the approval expires.The NHMRC expects that all guidelines will be reviewed no less than once every five years. Readers should check with the National Breast Cancer Centre for any reviews or updates of these guidelines. RESCINDEDThe strategic intent of the NHMRC is to provide leadership and work with other relevant organisations to improve the health of all Australians by:• fostering and supporting a high quality and internationally recognised research base; • providing evidence based advice; • applying research evidence to health issues thus translating research into better health practice and outcomes; and • promoting informed debate on health and medical research, health ethics and related issues.This document is a general guide to appropriate practice, to be followed subject to the clinician's judgement and the patient's preference in each individual case.The guidelines are designed to provide information to assist decision-making and are based on the best evidence available at the time of publication. C O N T E N T S L I S T O F TA B L E S L I S T O F F I G U R E S F O R E W O R DOptimal care of the patient with cancer incorporates effective physical and psychological care.There are currently several clinical practice guidelines available documenting evidence-based information and treatment recommendations for the physical care of people with cancer, many of which are also available in consumer versions. Some of these treatment guidelines include chapters devoted to psychosocial care.People with cancer suffer significant emotional morbidity. In addition to the distress, fear and grief consequent upon diagnosis, up to 30% experience clinically significant anxiety disorde...

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“…Moreover, Rosmolen et al, in a longitudinal study, analyzed the quality of life among survivors of long periods 8 (minimum two years) after resection and reconstruction with transmediastinal gastric tube in 100 patients, also in patients with Adenoca. De Boer et al, in another longitudinal study, included 67% of Adenoca in the total sample studied and 28% of SCC 9 . In the first six months after surgery, during a variable period of time the patient experiences undesirable , and a quality of life that can be greatly impaired, returning to preoperative levels 7,11 .…”

Section: Introduction Introduction Introduction Introduction Introducmentioning

confidence: 99%

“…There are comparative analysis of the quality of life of patients submitted to esophagectomy according to some surgical aspects, such as comparing the limited transhiatal resection to extensive transthoracic resection 5 ; between reconstruction with gastric tube and interposing the colon 6 ; comparison between curative esophagectomy and palliation 7,8 ; or even the comparison between the domains of quality of life with symptoms (physical and emotional) and factors related to illness and operation 9 . We did not found in the literature the possible differences between the quality of life of patients submitted to esophagectomy for Adenoca of the esophagogastric junction and the one of those submitted to esophagectomy by SCC.…”

Section: Introduction Introduction Introduction Introduction Introducmentioning

confidence: 99%

Qualidade de vida de doentes esofagectomizados: adenocarcinoma versus carcinoma epidermoide

Pereira

Lopes

Andreollo

2013

Rev. Col. Bras. Cir.

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OBJETIVO: Avaliar e comparar a qualidade de vida de pacientes esofagectomizados para tratamento de adenocarcinoma da junção esofagogástrica e de carcinoma epidermoide. MÉTODOS: estudo transversal no pós-operatório de doentes esofagectomizados por adenocarcinoma da junção esofagogástrica (Adenoca) e carcinoma epidermóide (CEC), empregando o questionário SF-36 aplicado em 24 pacientes (10 por Adenoca e 14 por CEC), a partir do 5º mês de pós-operatório, incluindo os sintomas clínicos e a variação de peso. RESULTADOS: A avaliação da QV mostrou melhor resultado de capacidade funcional (p=0,018) para o grupo Adenoca. Houve correlação entre os domínios "saúde mental" e "limitação por aspectos emocionais" (p=0,003) e entre "dor" e "limitação por aspectos físicos" (p=0,003) nos dois tipos histológicos. A perda de peso foi maior nos esofagectomizados por Adenoca (45,9Kg), sem diferença significativa entre o IMC atual (p>0,66). A disfagia foi relatada por 83,3% dos pacientes, a anorexia por 58,3%, a dificuldade de mastigação por 42%, a náuseas e os vômitos por 41,7% e a diarréia por 29,2%, sem correlação com a QV relatada (p>0,05). CONCLUSÃO: O escore mais alto para capacidade funcional indica que o paciente com Adenoca foi capaz de realizar todo tipo de atividade física, incluindo as mais vigorosas em um nível maior que o paciente com CEC. Alguns sintomas persistiram no pós-operatório, porém não interferiram na qualidade de vida dos pacientes.

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Quality of life in long-term survivors after curative transhiatal oesophagectomy for oesophageal carcinoma

Abstract: Patients who survive 2 years or more after transhiatal oesophageal resection for cancer can lead satisfactory lives. Although some residual symptoms may persist, their general quality of life is similar to that of healthy individuals of the same age.

Cited by 98 publications

References 17 publications

Nurse-led follow-up of patients after oesophageal or gastric cardia cancer surgery: a randomised trial

Nurse-led follow-up of patients after oesophageal or gastric cardia cancer surgery: a randomised trial

Broken doctor–patient relationships: why won't they listen?

Qualidade de vida de doentes esofagectomizados: adenocarcinoma versus carcinoma epidermoide

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